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1.
Nat Commun ; 15(1): 706, 2024 Jan 24.
Artigo em Inglês | MEDLINE | ID: mdl-38267487

RESUMO

Inorganic pyrophosphate is a key molecule in many biological processes from DNA synthesis to cell metabolism. Here we introduce sp3-functionalized (6,5) single-walled carbon nanotubes (SWNTs) with red-shifted defect emission as near-infrared luminescent probes for the optical detection and quantification of inorganic pyrophosphate. The sensing scheme is based on the immobilization of Cu2+ ions on the SWNT surface promoted by coordination to covalently attached aryl alkyne groups and a triazole complex. The presence of Cu2+ ions on the SWNT surface causes fluorescence quenching via photoinduced electron transfer, which is reversed by copper-complexing analytes such as pyrophosphate. The differences in the fluorescence response of sp3-defect to pristine nanotube emission enables reproducible ratiometric measurements in a wide concentration window. Biocompatible, phospholipid-polyethylene glycol-coated SWNTs with such sp3 defects are employed for the detection of pyrophosphate in cell lysate and for monitoring the progress of DNA synthesis in a polymerase chain reaction. This robust ratiometric and near-infrared luminescent probe for pyrophosphate may serve as a starting point for the rational design of nanotube-based biosensors.


Assuntos
Difosfatos , Nanotubos de Carbono , Cobre , Corantes , DNA
2.
Chemistry ; 29(65): e202302376, 2023 Nov 21.
Artigo em Inglês | MEDLINE | ID: mdl-37668555

RESUMO

Chiroptical materials are gaining increasing interest due to their innovative character and their applications in optoelectronics and data encryption technologies. Fully harnessing the potential of building blocks from the "chiral pool", such as native cyclodextrins (CDs), as they often lack chromophores suitable for the construction of materials with significant chiroptical properties. Here, we present the synthesis and characterization of a two-level molecular stack consisting of a point-chiral element (CD) and an axially chiral element (biphenyl), capable of effectively translating the overall stereochemical information contained in CDs into stimuli-responsive chiroptical properties. α- and ß-permethylated CDs were efficiently capped with two different 2,2'-difunctionalized 1,1'-biphenyl units. In CD derivatives containing the rigid 2,2'-dihydroxy-1,1'-biphenyl cap, two intramolecular hydrogen bonds act synergistically as stereoselective actuators, enabling effective communication between the two levels and the transfer of nonchromophoric stereochemical information from the cyclic-oligosaccharide to the atropoisomeric cap. The chiroptical properties can be finely tuned by external stimuli such as temperature and solvent. The way chirality is transferred from the CD platform to the biphenyl cap was revealed thanks to crystallographic and computational analyses, together with electronic circular dichroism (ECD) studies.

4.
Small ; 19(14): e2206856, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36610045

RESUMO

Biochemical processes are fast and occur on small-length scales, which makes them difficult to measure. Optical nanosensors based on single-wall carbon nanotubes (SWCNTs) are able to capture such dynamics. They fluoresce in the near-infrared (NIR, 850-1700 nm) tissue transparency window and the emission wavelength depends on their chirality. However, NIR imaging requires specialized indium gallium arsenide (InGaAs) cameras with a typically low resolution because the quantum yield of normal Si-based cameras rapidly decreases in the NIR. Here, an efficient one-step phase separation approach to isolate monochiral (6,4)-SWCNTs (880 nm emission) from mixed SWCNT samples is developed. It enables imaging them in the NIR with high-resolution standard Si-based cameras (>50× more pixels). (6,4)-SWCNTs modified with (GT)10 -ssDNA become highly sensitive to the important neurotransmitter dopamine. These sensors are 1.7× brighter and 7.5× more sensitive and allow fast imaging (<50 ms). They enable high-resolution imaging of dopamine release from cells. Thus, the assembly of biosensors from (6,4)-SWCNTs combines the advantages of nanosensors working in the NIR with the sensitivity of (Si-based) cameras and enables broad usage of these nanomaterials.

5.
ACS Appl Bio Mater ; 6(1): 309-317, 2023 01 16.
Artigo em Inglês | MEDLINE | ID: mdl-36538701

RESUMO

Fluorophores emitting in the near-infrared (NIR) wavelength region present optimal characteristics for photonics and especially bioimaging. Unfortunately, only few NIR fluorescent materials are known, and even fewer are biocompatible. For this reason, the scientific interest in designing NIR fluorophores is very high. Egyptian Blue (CaCuSi4O10, EB) is an NIR fluorescent layered silicate that can be exfoliated into fluorescent nanosheets (EB-NS). So far, its surface chemistry has not been tailored, but this is crucial for colloidal stability and biological targeting. Here, we demonstrate covalent surface functionalization of EB nanosheets (EBfunc) via Si-H activation using hydrosilanes with variable functionalities. In the first part of this work, EB-NS are grafted with the visible fluorescent pyrene (Pyr) moieties to demonstrate conjugation by colocalization of the Vis/NIR fluorescence on the (single) EB-NS level. Next, the same grafting procedure was repeated and validated with carboxyl group (COOH)-containing hydrosilanes. These groups serve as a generic handle for further (bio)functionalization of the EB-NS surface. In this way, folic acid (FA) could be conjugated to EB-NS, allowing the targeting of folic acid receptor-expressing cancer cells. These results highlight the potential of this surface chemistry approach to modify EB-NS, enabling targeted NIR imaging for biomedical applications.


Assuntos
Corantes Fluorescentes , Silicatos , Cobre , Ácido Fólico
6.
Int J Mol Sci ; 23(9)2022 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-35563669

RESUMO

BACKGROUND: Capsaicin, the hot pepper agent, produces burning followed by desensitization. To treat localized itch or pain with minimal burning, low capsaicin concentrations can be repeatedly applied. We hypothesized that alternatively controlled release of capsaicin from poly(lactic-co-glycolic acid) (PLGA) nanoparticles desensitizes superficially terminating nociceptors, reducing burning. METHODS: Capsaicin-loaded PLGA nanoparticles were prepared (single-emulsion solvent evaporation) and characterized (size, morphology, capsaicin loading, encapsulation efficiency, in vitro release profile). Capsaicin-PLGA nanoparticles were applied to murine skin and evaluated in healthy human participants (n = 21) for 4 days under blinded conditions, and itch and nociceptive sensations evoked by mechanical, heat stimuli and pruritogens cowhage, ß-alanine, BAM8-22 and histamine were evaluated. RESULTS: Nanoparticles (loading: 58 µg capsaicin/mg) released in vitro 23% capsaicin within the first hour and had complete release at 72 h. In mice, 24 h post-application Capsaicin-PLGA nanoparticles penetrated the dermis and led to decreased nociceptive behavioral responses to heat and mechanical stimulation (desensitization). Application in humans produced a weak to moderate burning, dissipating after 3 h. A loss of heat pain up to 2 weeks was observed. After capsaicin nanoparticles, itch and nociceptive sensations were reduced in response to pruritogens cowhage, ß-alanine or BAM8-22, but were normal to histamine. CONCLUSIONS: Capsaicin nanoparticles could be useful in reducing pain and itch associated with pruritic diseases that are histamine-independent.


Assuntos
Capsaicina , Nanopartículas , Animais , Capsaicina/farmacologia , Glicóis , Histamina , Temperatura Alta , Humanos , Camundongos , Dor/tratamento farmacológico , Prurido/induzido quimicamente , Prurido/tratamento farmacológico , beta-Alanina
7.
Sci Adv ; 7(48): eabj1826, 2021 Nov 26.
Artigo em Inglês | MEDLINE | ID: mdl-34818048

RESUMO

The prion protein (PrPC) is a central player in neurodegenerative diseases, such as prion diseases or Alzheimer's disease. In contrast to disease-promoting cell surface PrPC, extracellular fragments act neuroprotective by blocking neurotoxic disease-associated protein conformers. Fittingly, PrPC release by the metalloprotease ADAM10 represents a protective mechanism. We used biochemical, cell biological, morphological, and structural methods to investigate mechanisms stimulating this proteolytic shedding. Shed PrP negatively correlates with prion conversion and is markedly redistributed in murine brain in the presence of prion deposits or amyloid plaques, indicating a sequestrating activity. PrP-directed ligands cause structural changes in PrPC and increased shedding in cells and organotypic brain slice cultures. As an exception, some PrP-directed antibodies targeting repetitive epitopes do not cause shedding but surface clustering, endocytosis, and degradation of PrPC. Both mechanisms may contribute to beneficial actions described for PrP-directed ligands and pave the way for new therapeutic strategies against currently incurable neurodegenerative diseases.

8.
Sci Rep ; 10(1): 16347, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-33004891

RESUMO

OmpC and OmpF are among the most abundant outer membrane proteins in E. coli and serve as hydrophilic channels to mediate uptake of small molecules including antibiotics. Influx selectivity is controlled by the so-called constriction zone or eyelet of the channel. Mutations in the loop domain forming the eyelet can disrupt transport selectivity and thereby interfere with bacterial viability. In this study we show that a highly conserved motif of five negatively charged amino acids in the eyelet, which is critical to regulate pore selectivity, is also required for SecY-mediated transport of OmpC and OmpF into the periplasm. Variants with a deleted or mutated motif were expressed in the cytosol and translocation was initiated. However, after signal peptide cleavage, import into the periplasm was aborted and the mutated proteins were redirected to the cytosol. Strikingly, reducing the proof-reading capacity of SecY by introducing the PrlA4 substitutions restored transport of OmpC with a mutated channel domain into the periplasm. Our study identified a SecY-mediated quality control pathway to restrict transport of outer membrane porin proteins with a deregulated channel activity into the periplasm.


Assuntos
Proteínas de Escherichia coli/metabolismo , Escherichia coli/metabolismo , Periplasma/metabolismo , Porinas/metabolismo , Canais de Translocação SEC/metabolismo , Proteínas da Membrana Bacteriana Externa/metabolismo , Transporte Proteico/fisiologia
9.
Nat Commun ; 11(1): 4243, 2020 08 25.
Artigo em Inglês | MEDLINE | ID: mdl-32843625

RESUMO

Increased extracellular Ca2+ concentrations ([Ca2+]ex) trigger activation of the NLRP3 inflammasome in monocytes through calcium-sensing receptor (CaSR). To prevent extraosseous calcification in vivo, the serum protein fetuin-A stabilizes calcium and phosphate into 70-100 nm-sized colloidal calciprotein particles (CPPs). Here we show that monocytes engulf CPPs via macropinocytosis, and this process is strictly dependent on CaSR signaling triggered by increases in [Ca2+]ex. Enhanced macropinocytosis of CPPs results in increased lysosomal activity, NLRP3 inflammasome activation, and IL-1ß release. Monocytes in the context of rheumatoid arthritis (RA) exhibit increased CPP uptake and IL-1ß release in response to CaSR signaling. CaSR expression in these monocytes and local [Ca2+] in afflicted joints are increased, probably contributing to this enhanced response. We propose that CaSR-mediated NLRP3 inflammasome activation contributes to inflammatory arthritis and systemic inflammation not only in RA, but possibly also in other inflammatory conditions. Inhibition of CaSR-mediated CPP uptake might be a therapeutic approach to treating RA.


Assuntos
Artrite Reumatoide/imunologia , Inflamassomos/metabolismo , Proteína 3 que Contém Domínio de Pirina da Família NLR/metabolismo , Receptores de Detecção de Cálcio/metabolismo , Animais , Calcinose , Cálcio/metabolismo , Células Cultivadas , Humanos , Inflamação , Interleucina-1beta/metabolismo , Camundongos , Monócitos/metabolismo , Proteína 3 que Contém Domínio de Pirina da Família NLR/deficiência , Fosfatos/metabolismo , Pinocitose , Receptores de Detecção de Cálcio/deficiência , Transdução de Sinais , Células THP-1 , alfa-2-Glicoproteína-HS/metabolismo
10.
J Org Chem ; 85(16): 10951-10957, 2020 08 21.
Artigo em Inglês | MEDLINE | ID: mdl-32677438

RESUMO

Two methods for the determination of pKa values of weak acids are described, a direct titration with dimsyl potassium in the presence of an indicator and a back-titration in which an analyte/indicator mixture is deprotonated and then titrated with ammonium chloride. Both methods have been validated by measuring pKa values of compounds, for which values had been determined previously. The back-titration method was applied to measure pKa values of two 1,3-dithiane-derived bissulfoxides and a monosulfone.

11.
Opt Express ; 27(24): 34901-34906, 2019 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-31878669

RESUMO

Complementary pair of dispersive multilayers operating in the 2-4 µm spectral range were designed and produced for the first time. The mirrors comprise layers of Si and SiO2 thin-film materials. The pair exhibits unparalleled reflectance exceeding 99.7% and provides a group delay dispersion of (-200) fs2. The mirrors can be used in Cr:ZnS/Cr:ZnSe femtosecond lasers and amplifiers.

12.
Int J Psychol ; 54(1): 17-22, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28675428

RESUMO

Cultural norms of behaviour influence desirable and problematic behaviours of individuals. In particular, cultural norms should influence individuals' dishonesty. In a recent Nature study, prevalence of rule violations was introduced as a new country-level measure of behavioural norms. However, information on individuals' actual honesty was not available due to characteristics of the experimental design. Overcoming this limitation, we show that country-level behavioural norms are related to individual-level knowledge overclaiming behaviour (i.e., claiming to know concepts that do not exist, a measure of individuals' actual behavioural dishonesty) among 290,954 students from 57 countries (from the 2012 PISA study). Our study represents a crucial test of the argument that cultural norms influence individual's behaviour and of the validity of the measurement of countries' prevalences of rule violations. These results imply that shaping the behaviour of today's students may result in new behavioural norms that emphasise honesty and rule adherence more strongly.


Assuntos
Códigos de Ética/tendências , Estudantes/psicologia , Comparação Transcultural , Feminino , Humanos , Masculino , Prevalência
13.
J Phys Chem A ; 122(26): 5764-5772, 2018 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-29894191

RESUMO

Reasons for the 13C NMR γ-gauche effect in sulfoxides, i.e., the distinct shielding of a carbon ß to a gauche-oriented sulfoxide group were investigated. Several calculated and measured 13C NMR data of open chain or thiane-derived sulfoxides revealed that an upfield shift is only observed for that γ-gauche position, in which the respective carbon is anti to the sulfoxide's sulfur lone pair. Carbons in γ-gauche position, which are synclinal to the lone pair, are not affected. The magnetic anisotropy of the S═O group was examined by generation of iso-chemical-shielding surfaces (ICSSs) and magnetically induced current maps. Stereoelectronic interactions were determined with natural bond orbital (NBO) and natural chemical shielding (NCS) analyses. The γ-gauche effect is best described by stereoelectronic interactions, especially those of the sulfur's lone pair with antibonding orbitals to a ß-carbon in antiperiplanar orientation. An explanation based on steric interactions, which has frequently been referred to, is not suitable to describe the observed shielding effects. Furthermore, a description of the bonding situation in the S═O group is given. It can be understood as S-O triple bond, where the bond order is significantly reduced by antibonding contributions in some of the occupied molecular orbitals.

14.
PLoS One ; 13(5): e0197659, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29791485

RESUMO

The cellular prion protein (PrPC) is implicated in neuroprotective signaling and neurotoxic pathways in both prion diseases and Alzheimer's disease (AD). Specifically, the intrinsically disordered N-terminal domain (N-PrP) has been shown to interact with neurotoxic ligands, such as Aß and Scrapie prion protein (PrPSc), and to be crucial for the neuroprotective activity of PrPC. To gain further insight into cellular pathways tied to PrP, we analyzed the brain interactome of N-PrP. As a novel approach employing recombinantly expressed PrP and intein-mediated protein ligation, we used N-PrP covalently coupled to beads as a bait for affinity purification. N-PrP beads were incubated with human AD or control brain lysates. N-PrP binding partners were then identified by electrospray ionization tandem mass spectrometry (nano ESI-MS/MS). In addition to newly identified proteins we found many previously described PrP interactors, indicating a crucial role of the intrinsically disordered part of PrP in mediating protein interactions. Moreover, some interactors were found only in either non-AD or AD brain, suggesting aberrant PrPC interactions in the pathogenesis of AD.


Assuntos
Doença de Alzheimer/metabolismo , Proteínas PrPC/metabolismo , Resinas Acrílicas , Idoso de 80 Anos ou mais , Encéfalo/metabolismo , Humanos , Masculino , Pessoa de Meia-Idade , Polietilenoglicóis , Domínios e Motivos de Interação entre Proteínas , Espectrometria de Massas por Ionização por Electrospray
15.
J Biol Chem ; 293(21): 8020-8031, 2018 05 25.
Artigo em Inglês | MEDLINE | ID: mdl-29636413

RESUMO

A central step in the pathogenesis of prion diseases is the conformational transition of the cellular prion protein (PrPC) into the scrapie isoform, denoted PrPSc Studies in transgenic mice have indicated that this conversion requires a direct interaction between PrPC and PrPSc; however, insights into the underlying mechanisms are still missing. Interestingly, only a subfraction of PrPC is converted in scrapie-infected cells, suggesting that not all PrPC species are suitable substrates for the conversion. On the basis of the observation that PrPC can form homodimers under physiological conditions with the internal hydrophobic domain (HD) serving as a putative dimerization domain, we wondered whether PrP dimerization is involved in the formation of neurotoxic and/or infectious PrP conformers. Here, we analyzed the possible impact on dimerization of pathogenic mutations in the HD that induce a spontaneous neurodegenerative disease in transgenic mice. Similarly to wildtype (WT) PrPC, the neurotoxic variant PrP(AV3) formed homodimers as well as heterodimers with WTPrPC Notably, forced PrP dimerization via an intermolecular disulfide bond did not interfere with its maturation and intracellular trafficking. Covalently linked PrP dimers were complex glycosylated, GPI-anchored, and sorted to the outer leaflet of the plasma membrane. However, forced PrPC dimerization completely blocked its conversion into PrPSc in chronically scrapie-infected mouse neuroblastoma cells. Moreover, PrPC dimers had a dominant-negative inhibition effect on the conversion of monomeric PrPC Our findings suggest that PrPC monomers are the major substrates for PrPSc propagation and that it may be possible to halt prion formation by stabilizing PrPC dimers.


Assuntos
Neuroblastoma/prevenção & controle , Proteínas Priônicas/química , Proteínas Priônicas/metabolismo , Multimerização Proteica , Scrapie/prevenção & controle , Animais , Células HeLa , Humanos , Camundongos , Camundongos Transgênicos , Neuroblastoma/patologia , Transporte Proteico , Scrapie/patologia , Células Tumorais Cultivadas
16.
Prion ; 12(2): 88-92, 2018 03 04.
Artigo em Inglês | MEDLINE | ID: mdl-29388511

RESUMO

The prion protein (PrP) is composed of two major domains of similar size. The structured C-terminal domain contains three alpha-helical regions and a short two-stranded beta-sheet, while the N-terminal domain is intrinsically disordered. The analysis of PrP mutants with deletions in the C-terminal globular domain provided the first hint that intrinsically disordered domains are inefficiently transported into the endoplasmic reticulum through the Sec61 translocon. Interestingly, C-terminally truncated PrP mutants have been linked to inherited prion disease in humans and are characterized by inefficient ER import and the formation of neurotoxic PrP conformers. In a recent study we found that the Sec61 translocon in eukaryotic cells as well as the SecY translocon in bacteria is inherently deficient in translocating intrinsically disordered proteins. Moreover, our results suggest that translocon-associated components in eukaryotic cells enable the Sec61 complex to transport secretory proteins with extended unstructured domains such as PrP and shadoo.


Assuntos
Proteínas de Escherichia coli/metabolismo , Doenças Priônicas/metabolismo , Proteínas Priônicas/metabolismo , Canais de Translocação SEC/metabolismo , Animais , Retículo Endoplasmático/metabolismo , Proteínas de Escherichia coli/genética , Humanos , Proteínas Intrinsicamente Desordenadas/genética , Proteínas Intrinsicamente Desordenadas/metabolismo , Camundongos , Camundongos Transgênicos , Doenças Priônicas/genética , Proteínas Priônicas/genética , Príons/genética , Príons/metabolismo , Transporte Proteico/fisiologia , Canais de Translocação SEC/genética
17.
J Biol Chem ; 292(52): 21383-21396, 2017 12 29.
Artigo em Inglês | MEDLINE | ID: mdl-29084847

RESUMO

About one-quarter to nearly one-third of the proteins synthesized in the cytosol of eukaryotic cells are integrated into the plasma membrane or are secreted. Translocation of secretory proteins into the lumen of the endoplasmic reticulum or the periplasm of bacteria is mediated by a highly conserved heterotrimeric membrane protein complex denoted Sec61 in eukaryotes and SecYEG in bacteria. To evaluate a possible modulation of the translocation efficiency by secondary structures of the nascent peptide chain, we performed a comparative analysis in bacteria, yeast, and mammalian cells. Strikingly, neither the bacterial SecY nor the eukaryotic Sec61 translocon was able to efficiently transport proteins entirely composed of intrinsically disordered domains (IDDs) or ß-strands. However, translocation could be restored by α-helical domains in a position- and organism-dependent manner. In bacteria, we found that the α-helical domains have to precede the IDD or ß-strands, whereas in mammalian cells, C-terminally located α-helical domains are sufficient to promote translocation. Our study reveals an evolutionarily conserved deficiency of the Sec61/SecY complex to translocate IDDs and ß-strands in the absence of α-helical domains. Moreover, our results may suggest that adaptive pathways co-evolved with the expansion of IDDs in the proteome of eukaryotic cells to increase the transport capacity of the Sec61 translocon.


Assuntos
Canais de Translocação SEC/metabolismo , Canais de Translocação SEC/fisiologia , Membrana Celular/metabolismo , Retículo Endoplasmático/metabolismo , Escherichia coli/metabolismo , Proteínas de Escherichia coli/metabolismo , Células HeLa , Humanos , Proteínas de Membrana/metabolismo , Proteínas de Membrana Transportadoras/metabolismo , Peptídeos/metabolismo , Estrutura Secundária de Proteína , Transporte Proteico , Canais de Translocação SEC/genética , Saccharomyces cerevisiae/metabolismo , Proteínas de Saccharomyces cerevisiae/metabolismo
18.
Langmuir ; 32(35): 8812-7, 2016 09 06.
Artigo em Inglês | MEDLINE | ID: mdl-27504721

RESUMO

Tuning the work function of the electrode is one of the crucial steps to improve charge extraction in organic electronic devices. Here, we show that N,N-dialkyl dithiocarbamates (DTC) can be effectively employed to produce low work function noble metal electrodes. Work functions between 3.1 and 3.5 eV are observed for all metals investigated (Cu, Ag, and Au). Ultraviolet photoemission spectroscopy (UPS) reveals a maximum decrease in work function by 2.1 eV as compared to the bare metal surface. Electronic structure calculations elucidate how the complex interplay between intrinsic dipoles and dipoles induced by bond formation generates such large work function shifts. Subsequently, we quantify the improvement in contact resistance of organic thin film transistor devices with DTC coated source and drain electrodes. These findings demonstrate that DTC molecules can be employed as universal surface modifiers to produce stable electrodes for electron injection in high performance hybrid organic optoelectronics.

19.
Medizinhist J ; 50(1-2): 66-95, 2015.
Artigo em Alemão | MEDLINE | ID: mdl-26219189

RESUMO

Occupational accidents in industrial workplaces are a specific health problem for man. Therefore it seems adequate to use masculinities as a category of research in this field. For the Kaiserreich and the Weimarer Republik it shows that male workers relating to their danger awareness and behavior, prevention, accident causes and coping strategies are settled in an area of conflict between a hard workplace environment and the family. On the basis of health practices of the accident victims it appears that there are different forms of labor masculinities. They have an important influence on all levels of an occupational accident from the endangerment to the success of the treatment. Through a critical use of the category academic void can be shown and alternative explanatory models can be offered.


Assuntos
Acidentes de Trabalho/história , Masculinidade/história , Saúde do Homem/história , Traumatismos Ocupacionais/história , Acidentes de Trabalho/prevenção & controle , Alemanha , Promoção da Saúde/história , História do Século XIX , História do Século XX , História do Século XXI , Humanos , Masculino , Traumatismos Ocupacionais/prevenção & controle
20.
Arch Orthop Trauma Surg ; 134(7): 1003-8, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24691814

RESUMO

INTRODUCTION: Short-stem prostheses enable bone stock preserving total hip arthroplasty. However, little is known about the durability of this group of implants. The most common cause for implant failure is aseptic loosening. Early implant migration is supposed to be the best indicator for mechanical failure of femoral stems. The purpose of this study was to evaluate the migration pattern of a short stem implant and the influence of BMI, gender and femoral offset on implant migration. MATERIALS AND METHODS: After a minimum follow-up of 2 years, 72 hips were included in this EBRA-FCA-study. The mean age at surgery of the 34 female and 32 male patients was 54 years (range 22-75 years). The mean BMI was 29 kg/m(2) (range 21-51 kg/m(2)). RESULTS: Mean axial subsidence was 1 mm (±1.4 mm) after 24 months. BMI, gender and implant offset did not influence implant migration on a statistical significant level. Nevertheless, a tendency towards more migration in obese and female patients was observed. CONCLUSION: The evaluated short stem prosthesis showed a migration pattern similar to clinical proven standard straight stem implants. The indication of short-stem prostheses should be critically evaluated in obese and female patients.


Assuntos
Artroplastia de Quadril , Fêmur/diagnóstico por imagem , Fêmur/cirurgia , Migração de Corpo Estranho/diagnóstico por imagem , Prótese de Quadril , Falha de Prótese , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/complicações , Desenho de Prótese , Radiografia , Estudos Retrospectivos , Fatores de Risco , Adulto Jovem
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